CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Colleton Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,952
Cash Discount Price: $5,410
vs. Medicare Baseline: 10.89x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Colleton Medical Center is $1,952. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,410. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.89x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$5,410

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,952

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $5,410 (3019%)

Insurance Median: $1,952 (1089%)

Cash: $5,410 (3019% of Medicare)

Ins. Median: $1,952 (1089% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1089% of the Medicare baseline (a markup of 989%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Select Health	$203	113%
Absolute Total Care	$312 - $1,013	174%
United	$402 - $2,988	224%
Blue Choice	$459	256%
Sc State Employees	$591 - $597	330%
Blue Choice Health Plan	$1,022 - $1,068	570%
Blue Cross Blue Shield	$1,022 - $5,346	570%
Nhc Advantage	$1,069	597%
Pruitt Health	$1,069	597%
Employers Health Network	$2,532	1413%
Value Option	$2,814	1570%
Vocational Rehab	$3,039	1696%
Medcost	$3,174 - $4,108	1771%
Aetna	$3,258	1818%
Cigna	$3,635	2028%
Humana	$3,658 - $5,064	2041%
Evernorth	$4,502	2512%
Multiplan	$4,783	2669%
North American Administrators	$4,783	2669%
Prime Health	$4,783	2669%
First Health	$5,064	2826%
Novanet	$5,064	2826%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,410.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Colleton Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.